A 30-year-old physically fit female patient with a history of depression returns to the
mental health clinic for follow-up care. She takes 100 mg of Zoloft (sertraline) daily. In
addition she states that she tries to stay mentally and physically well by taking yoga
classes, walking regularly, and taking vitamins and St. John's wort. She adds that she is
a vegetarian and gets most of her protein from cheese. Given this data, what should
the nurse tell the client?
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"You should stop taking St. John's wort because it can, in conjunction with
your medication, precipitate serotonin syndrome."
Buspar (buspirone) use
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, GAD
A female patient is under evaluation for imminent suicide risk. Which information given
by her would be most significant?
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Reference to suicide as the best solution to her problems
You realize that your patient who is being treated for a major depressive disorder
requires more teaching when she makes the following statement:
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"I'm going to ask my nurse practitioner to discontinue my Prozac today and
let me start taking a monoamine oxidase inhibitor tomorrow."
Lithium amount for maintenance levels
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.6 - 1.0 mEq/L
social phobia treatment
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, Treatment: Variety of therapies, with CBT most successful; beta blockers,
SSRIs reduce social anxiety and depression; (not really MOAs)
PROTECTIVE FACTORS FOR SUICIDE
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¢ Family/community support/
¢ Pregnancy
¢ Religious beliefs
¢ Restricted access to guns, etc.
¢ Access to health care for disorders
¢ Effective coping skills/problem solving skills
¢ Intact reality testing
¢ Meds that are protective: lithium for mood and clozapine for psychotic
disorders
Symptoms of a panic attack climb to max severity with
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10 min and diminish within 30 - <60 min
it's essential to rule out other physiological causes
Separation Anxiety Disorder
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, 8-18 months normal
May begin in childhood or adulthood
Afraid to leave home, leave attachment figures, fear permanent separation
Stomach aches, headaches, trouble sleeping
Adult form impaired social/occupational functioning
Due to recentness of diagnosis for ASAD, no standard treatment; meds
(SSRIs) and a form of CBT - exposure therapy as well as other treatments
for anxiety disorders are used
Which medication is a tricyclic antidepressant that has a high risk for lethality if taken
in an overdose?
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Elavil (amitriptyline)
A nurse should instruct a patient prescribed Tofranil (imipramine) that which adverse
anticholinergic effect might be experienced?
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Dry Mouth
Trichotillomania:
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mental health clinic for follow-up care. She takes 100 mg of Zoloft (sertraline) daily. In
addition she states that she tries to stay mentally and physically well by taking yoga
classes, walking regularly, and taking vitamins and St. John's wort. She adds that she is
a vegetarian and gets most of her protein from cheese. Given this data, what should
the nurse tell the client?
Give this one a try later!
"You should stop taking St. John's wort because it can, in conjunction with
your medication, precipitate serotonin syndrome."
Buspar (buspirone) use
Give this one a try later!
, GAD
A female patient is under evaluation for imminent suicide risk. Which information given
by her would be most significant?
Give this one a try later!
Reference to suicide as the best solution to her problems
You realize that your patient who is being treated for a major depressive disorder
requires more teaching when she makes the following statement:
Give this one a try later!
"I'm going to ask my nurse practitioner to discontinue my Prozac today and
let me start taking a monoamine oxidase inhibitor tomorrow."
Lithium amount for maintenance levels
Give this one a try later!
.6 - 1.0 mEq/L
social phobia treatment
Give this one a try later!
, Treatment: Variety of therapies, with CBT most successful; beta blockers,
SSRIs reduce social anxiety and depression; (not really MOAs)
PROTECTIVE FACTORS FOR SUICIDE
Give this one a try later!
¢ Family/community support/
¢ Pregnancy
¢ Religious beliefs
¢ Restricted access to guns, etc.
¢ Access to health care for disorders
¢ Effective coping skills/problem solving skills
¢ Intact reality testing
¢ Meds that are protective: lithium for mood and clozapine for psychotic
disorders
Symptoms of a panic attack climb to max severity with
Give this one a try later!
10 min and diminish within 30 - <60 min
it's essential to rule out other physiological causes
Separation Anxiety Disorder
Give this one a try later!
, 8-18 months normal
May begin in childhood or adulthood
Afraid to leave home, leave attachment figures, fear permanent separation
Stomach aches, headaches, trouble sleeping
Adult form impaired social/occupational functioning
Due to recentness of diagnosis for ASAD, no standard treatment; meds
(SSRIs) and a form of CBT - exposure therapy as well as other treatments
for anxiety disorders are used
Which medication is a tricyclic antidepressant that has a high risk for lethality if taken
in an overdose?
Give this one a try later!
Elavil (amitriptyline)
A nurse should instruct a patient prescribed Tofranil (imipramine) that which adverse
anticholinergic effect might be experienced?
Give this one a try later!
Dry Mouth
Trichotillomania:
Give this one a try later!
